Fill out the form below with as much detail as possible. After you submit the information, it will automatically be emailed to our team for review and approval.

Please review the NAAA guidelines before submitting your arbitration claim.

According to NAAA guidelines, vehicles 15 years old and newer only. Vehicles older than 15 years are not eligible for arbitration. Only vehicles with less than 150,000 miles and >$3000 sale price are eligible for arbitration.

Dealer Information

Date: * +

Dealership Name: *

Dealer #: *

Contact Person's Name: *

Direct Phone #: *

Email: *

Preferred Method of Communication: *

Call

Text

Email

Vehicle & Transaction Information

Purchase Date of Vehicle: *

Vehicle VIN (Last 6 Digits): *

Vehicle Year: *

Vehicle Make: *

Vehicle Model: *

Odometer: *

Arbitration Type: *

Mechanical

CR / Check-In

Disclosure

Title

Did you purchase a PSI? *

Yes

No

PSI Type: *

7-Day

14-Day

Purchase Type: *

What light did you buy this car on? *

Green

Red

White

Reason for Arbitration (Describe the Specific Issue): *